3. Submission of this report is in compliance with SECTION 270, CHAPTER XXIX, OF DENR AO 96-40 or the implementing rules and regulations of REPUBLIC ACT NO. 7942.

4. Information to be supplied by the reporting Contractor/Operator/Permit Holder should cover the period from the first day to the last day of the report month.

5. This report form must be accomplished by Contractors/Operators/Permit Holder of Mineral Agreements, FTAAs or Mineral Processing Permits producing non-metallic minerals.

6. Fill-up production portion of this form on a per quarry resource produced.

7. For any non-metallic minerals not included in the list, please fill up the form and specify the mineral.

8. Do not leave any of the requirements unanswered. If a requirement does not apply, write NA (Not Applicable). If the question is applicable but you have no answer, write NONE.

9. This document should be signed by the resident manager or equivalent position thereof.

10. This report should be duly notarized.

11. Use additional sheet if necessary

12. For any comments, suggestions or clarifications regarding this form please consult your nearest MGB Regional Office in your area

DEFINITION OF TERMS:

Contractor/Operator is composed of one Head Office and one or more Quarry Sites

Quarry Site refers to the location where mineral extraction takes place (Barangay, Municipality, Province)

Capacity refers to the capacity of the mill or processing facility used by the permittee/operator expressed in Metric Ton Per Day (MTPD).

Rated Capacity refers to the maximum fixed output of a mill or processing facility expressed in Metric Tons Per Day (MTPD). It is also the measure of the theoretical amount of material that can be

handled/recovered in any given time by the mill.

Actual Capacity refers to the attained capacity of the mill or processing facility in Metric Tons Per Day (MTPD). It also refers to the constant amount of material that can be recovered/handled

in a given actual time per day

Number of days in operation refers to the total number of days the company is in operation during the reporting period

Grade Analysis refers to the grade composition of the most important components of the mineral.

Production quantity refers to the total volume of mineral extracted during the reporting period expressed in Metric Ton (MT).

Production value r efers to the total value or gross output of mineral extracted during the reporting period as defined in Chapter 1, Section 5 of the Revised IRR of the Phil. Mining Act of 1995. (under the term "Gross Output")

Estimated extraction fee payable refers to an estimate of the total extraction fee to be paid by the permittee covering the production during the reporting period and based on the prevailing extraction fee rate in the

province/city.

Sales quantity refers to the total volume of mineral sold during the reporting period expressed in Metric Tons (MT).

Sales value refers to the total value of mineral sold during the reporting period. This value includes all costs of production, taxes invoiced to purchasers, transport & trade mark-up.

Estimated excise tax payable refers to an extimate of the total excise tax on minerals to be paid by the permittee to the Bureau of Internal Revenue (BIR) covering the production during the reporting period and

based on the rate prescribed by Section 217 (b) of the Revised IRR of the Mining Act of 1995.

Page 1 of 3

MGB Form 29-11 (Series of 2000)

COVERAGE OF NON-METALLIC MINERALS

1.

2.

3.

4.

Asbestos

Barite

Bauxite

Bentonite

5.

6.

7.

8.

White clay or Kaolin

Dolomite

Feldspar

Gypsum

9. Magnesite

10. Mica

11. Limestone

12. Shale Clay

13. Silica Quartz

14. Silica Sand

15. Bull Quartz

16. Talc

17. Precious and Semi-Precious Stone

18. Pebbles

19. Others (pls. Specify) ___________

PROCESSED MINERAL PRODUCTS (Figures will not be included in totals)

1. Hydrated Lime or Slaked Lime

2. Quicklime

3. Processed Marble

4. Cement

I. ADMINISTRATIVE DATA

NAME OF CONTRACTOR/OPERATOR - If name of person, please write surname first

REPORT MONTH/YEAR

TAX IDENTIFICATION NO. (TIN)

OFFICE ADDRESS

TELEPHONE NO.

FAX. NO.

PROJECT NAME:

E-MAIL ADDRESS (if any)

DATE OF 1st OPERATION (if new)

CONTRACT NO(s)

MERIDIONAL BLOCK(s)

SITE ADDRESS: (State Barangay, Municipality, Province)

II. PRODUCTION DATA (Use additional sheet if necessary)

MINERAL PRODUCT : (Specify)

MILL CAPACITY

PRODUCTION

Quantity (M.T.)**

Value (P)

Rated

Actual

GRADE ANALYSIS

NO. OF DAYS

IN OPERATION

Content

Component

Content

Monthly Inventory

Component

Quantity (M.T.)

Value (P)

Reasons for increase or decrease in production this month compared to the previous month: (pls. check appropriate answer below and use additional sheet if necessary)